Masumeh Saeidi Health Providers 2820-9192 3 2 2023 12 01 Refusing or Accepting the COVID -19 Vaccine in Iranian Society: A Systematic Review 73 86 169003 10.22034/hp.2023.390943.1032 EN Asma Payandeh Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran. 0009-0003-0159-7144 Alireza Akhlaghi MSc Student of Health Education and Promotion, Yasuj University of Medical Sciences, Yasuj, Iran. 0000-0003-1662-6174 Amer Yazdanparast Associate Professor of Pediatric Cardiology, Department of Pediatrics, Faculty of Medicine, Bushehr University of Medical Sciences, Bushehr, Iran. 0000-0001-7307-4420 Mohammad Vahedian-shahroodi Professor of Health Education and Promotion, School of Health, Mashhad University of Medical Sciences, Mashhad, Iran. 0000-0002-5402-1646 Journal Article 2023 03 26 Background: The successful implementation of the COVID-19 vaccination program depends not only on the efficiency and effectiveness of the vaccine but also on public trust and acceptance among the target population. This study aims to review the factors associated with the acceptance and refusal of COVID-19 vaccination in Iranian society. Materials and Methods: In this systematic review, the online databases Medline, EMBASE, CINAHL, Web of Science, Scopus, and the WHO database were searched for studies on the acceptance and refusal of the COVID-19 vaccine and related factors from December 1, 2019, through January 1, 2023. Two authors independently undertook the screening selection, data extraction, and quality assessment using the STROBE scale. Results: The acceptance rate for the COVID-19 vaccine ranged from 64.2% to 83.6%. Various determinants influenced the refusal of the COVID-19 vaccine at individual, socio-cultural, and legal-managerial levels. Individual factors included fear of short-term side effects, personality traits, and distrust of vaccines and pharmaceutical companies. Socio-cultural determinants encompassed conspiracy theories, social learning, misconceptions about COVID-19, and fatalism. Legal-managerial factors involved incomplete information, difficult and irregular access to vaccination centers, a lack of restrictions or mandates for vaccination, and insufficient incentives to receive the vaccine. Additionally, higher education levels, older age, male gender, marital status, having chronic diseases or a history of severe COVID-19 infection, as well as respect for the rights of others, were associated with better acceptance of vaccination (p < 0.05). Conclusion: Removing barriers to vaccination related to individual, social, legal-managerial, and vaccination factors, as well as informing people about its benefits, should be a priority for health providers. Factors such as older age, gender, marital status, education level, and comorbidities were associated with higher vaccine acceptance among individuals.

https://www.health-providers.ir/article_169003_eeab6b5cb79e05e024d357b308104c5e.pdf

Masumeh Saeidi Health Providers 2820-9192 3 2 2023 12 01 Public Knowledge, Attitude, and Practice toward COVID-19 among the Iranian Population: A Systematic Review of the Literature 87 102 169694 10.22034/hp.2023.392784.1034 EN Vahid Poudineh Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran. 0009-0008-3615-688X Rahim Vakili Professor, Pediatric Endocrinologist, Mashhad University of Medical Sciences, Mashhad, Iran. 0000-0002-7707-7052 Khadijeh Saeidi Expert of Khorasan Razavi Provincial Government, Mashhad, Iran. Shima Payandeh Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran. 0000-0002-5983-1277 Mansoure Alipour-Anbarani Department of Public Health, School of Public Health and Safety, Shahid Beheshti University of Medical Sciences, Tehran, Iran. 0000-0002-9563-7383 Journal Article 2023 04 11 Background: The COVID-19 pandemic has led to significant public health and humanitarian crises, impacting the health and livelihoods of individuals worldwide. This study aims to investigate the knowledge, attitudes, and practices (KAP) of the Iranian population regarding the COVID-19 pandemic and the associated factors. Materials and Methods: In this systematic review, a search of online databases (Medline, EMBASE, Scopus, Web of Science, Cochrane Library, CIVILICA, and Google Scholar) was conducted for related studies without any time limit up to July 2022. Two reviewers assessed the quality of the eligible studies, and the quality of the information was evaluated using the STROBE tool. Results: A total of 14 relevant studies involving 21,484 participants were included in the review. Overall, 64.8% of participants demonstrated appropriate knowledge (range: 56.5% to 73.17%), 62.3% exhibited favorable attitudes (range: 52.6% to 72%), and 71.4% reported good practices (range: 51.8% to 91%). Factors associated with the knowledge, attitudes, and practices (KAP) of the population included age, gender, marital status, household size, education level, employment status, being a housewife, location of residence, social deprivation, and income level (p < 0.05). Conclusion: The mean scores of good knowledge, positive attitude, and good practice of the population were above average and estimated as 64.8%, 62.3%, and 71.4%, respectively. Providing correct scientific information through mass media and healthcare providers and continuous encouragement of people about the observance of preventive measures are emphasized.

https://www.health-providers.ir/article_169694_a06e8bb7a2ead602f451978b63ba79ec.pdf

Masumeh Saeidi Health Providers 2820-9192 3 2 2023 12 01 Overview of Febrile Seizures in Iranian Children and Related Factors: A 30-Year Review 103 113 208461 10.22034/hp.2024.485559.1048 EN Mahammad Hasan Mohhamadi Department of MDepartment of Pediatrics, Zabol University of Mediacl Sciences, Zabol, Iran.edical Education Hashem Lashgari Kalat Department of Pediatrics, Clinical Research Development Center of Children's Hospital, Hormozgan University of Medical Science, Bandar Abbas, Iran. Mona Mohammadi Mashhad University of Medical Sciences , Mashhad , Iran. 0000-0002-2646-7720 Afsaneh Mirshekari Department of Gastroenterology and Hepatology, School of Medicine, Amir al Momenin Hospital, Zabol University of Medical Sciences, Zabol, Iran. 0000-0003-1495-8546 Journal Article 2024 10 26 Background: Febrile seizures (FS) are a common neurological disorder in children. This study aims to review the epidemiological and clinical characteristics associated with FS in Iranian children. Materials and Methods: In this overview, a search for systematic reviews, reviews, or recent research was conducted across online databases, including Scopus, Web of Science, PubMed, and Google Scholar, up to October 2023. Two reviewers assessed the quality of eligible studies and managed the selection process. Results: Febrile seizures are a prevalent condition among children, particularly those under five years old globally, affecting 2-5% of this age group. In Iran, studies indicate a moderate prevalence, with specific findings from Zahedan reporting a rate of 3.5% among children. Notably, the incidence of FS among Iranian children experiencing convulsions overall is as high as 47.9%. The age group most affected by FS in Iran is children aged 6 months to 5 years, with a peak incidence observed between 12 and 18 months. The overall recurrence rate of FS is 20.9% (95% CI: 12.3-29.5), with the majority classified as simple febrile seizures (69.3%), while complex febrile seizures account for about 25.3%. The main causes of FS in Iranian children include infectious causes (such as upper respiratory infections and shigellosis), non-infectious factors (including family history), demographic factors (age and gender), and other influences (such as fertility treatments and environmental factors). Conclusion: The prevalence of febrile seizures among Iranian children remains significant, although recent studies suggest a decline compared to earlier decades. This variation in the prevalence of FS highlights the need for targeted public health strategies and further research to understand their causes and effects on pediatric healthcare.

https://www.health-providers.ir/article_208461_51c571a01d64ee12f214df4001978f2b.pdf

Masumeh Saeidi Health Providers 2820-9192 3 2 2023 12 01 A Systematic Review of Risky Behaviors in Adolescence and its Related Factors: Evidence from Iran 115 130 164003 10.22034/hp.2022.379004.1030 EN Shima Imannezhad Pediatric Neurologist, Department of Pediatric, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran. 0000-0002-5537-2763 Seyed Mohammad Kazem Razavi Pour Department of Pediatrics, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran. 0000-0002-7683-9852 Hashem Lashgari Kalat Department of Pediatrics, Clinical Research Development Center of Children's Hospital, Hormozgan University of Medical Sciences, Bandar Abbas, Iran. Sedigheh Shariat Moghani Department of Midwifery and Reproductive Health, School of Nursing and Midwifery, Mashhad University of Medical Sciences, Mashhad, Iran. 0000-0002-6427-8912 Amer Yazdanparast Associate Professor of Pediatric Cardiology, Department of Pediatrics, Faculty of Medicine, Bushehr University of Medical Sciences, Bushehr, Iran. 0000-0001-7307-4420 Journal Article 2022 12 31 Background: Adolescence is one of the most challenging, stressful, attractive, and, at the same time, problematic periods of life for adolescents, as well as for their parents, teachers, and healthcare providers. The present study aims to evaluate the tendency toward high-risk behaviors and the factors associated with adolescent risk behaviors among Iranian adolescents. Materials and Methods: In this systematic review, online databases (Medline, EMBASE, Scopus, Web of Science, Cochrane Library, CINAHL, CIVILICA, and the Google Scholar search engine) were reviewed with no time limit up to March 2023. Two reviewers evaluated the quality of eligible studies and conducted the selection procedure. The quality of the data was assessed using the STROBE guidelines. Results: Finally, 19 studies were selected. The prevalence of high-risk behaviors in adolescents was 34.2% (range: 5.4% - 63.1%). The selected studies highlighted five forms of high-risk behaviors: hookah smoking (6.9% - 59%), cigarette smoking (10.9% - 44.1%), substance abuse (1.8% - 31.1%), sexual risk behaviors (14.5% - 41.6%), and violence (23.4%). There was a significant negative relationship between religious tendencies and the risky behaviors of students. Additionally, there was a significant relationship between age, gender, field of study, health literacy, family income, family structure, attachment to family and peers, commitment to norms, belief in moral principles, social inhibitions, and the tendency toward high-risk behaviors (p < 0.05). Conclusion: The prevalence of high-risk behaviors among adolescents is significant. The supply of tobacco products to teenagers should be prohibited. It is essential to create healthy recreational activities (such as sports and cultural competitions), develop programs, and design educational interventions to prevent risky behaviors while enhancing communication skills and self-efficacy in adolescents. Additionally, it is recommended that parents and teachers strengthen religious beliefs in adolescents.

https://www.health-providers.ir/article_164003_f060060fd55e4b53ae584bf8fa72f9cb.pdf

Masumeh Saeidi Health Providers 2820-9192 3 2 2023 12 01 The Impact of Herbal Medicine on Breast Milk Production: An Overview of Systematic Reviews 131 139 170254 10.22034/hp.2023.394275.1035 EN Saba Vakili MD, Evelina London Children’s Hospital, Guy’s and St. Thomas’ National Health Service Foundation Trust, London, UK. 0000-0002-9315-9736 Moein Mobini General Pediatrics, Evelina London Children’s Hospital, Guy’s and St. Thomas’ National Health Service Foundation Trust, London, UK. 0000-0001-8571-6179 Journal Article 2023 04 22 Background: Insufficient milk production can lead to stress and discomfort for mothers. As a result, some mothers turn to herbal medicine to enhance milk production. This study aims to review the impact of herbal medicine on breast milk production based on existing scientific literature Materials and Methods: In this overview, online databases such as Medline, EMBASE, Web of Science, Scopus, CINAHL, CIVILICA, and the Google search engine were searched for studies on the impact of herbal medicine on increasing milk production published up to February 2023. Two independent authors conducted the screening, selection, and quality assessment of the selected research using the CONSORT Statement. Results: Five systematic reviews, encompassing a total of studies, were included in this overview. One review, which analyzed nine experimental studies, found that torbangun leaves, young papayas, moringa leaves, katuk leaves, and banana buds contain chemical compounds that can enhance the production and secretion of breast milk. Two reviews, based on eight experimental studies, indicated that the consumption of fenugreek and milk thistle significantly increased breast milk production compared to the control group, although the studies exhibited high heterogeneity. Another systematic review, which included 41 experimental studies, reported increased milk volume in 13 studies involving Bu Xue Sheng Ru, Chanbao, Cui Ru, banana flower, fenugreek, ginger, a mix of fenugreek and ginger with turmeric, ixbut, mixed botanical tea, Sheng Ru He Ji, silymarin, Xian Tong Ru, and palm dates. However, a meta-analysis was not feasible due to high heterogeneity. Conclusion: There is evidence that certain herbal medicines may increase milk production in mothers. However, the magnitude of these effects remains uncertain due to substantial heterogeneity among the studies, imprecision in measurements, and incomplete reporting. High-quality randomized controlled trials (RCTs) are needed to assess the efficacy and safety of galactagogues.

https://www.health-providers.ir/article_170254_56130c3d3eff88e1cf1ecd093d97c5cf.pdf

Masumeh Saeidi Health Providers 2820-9192 3 2 2023 12 01 The Effects of Acupressure on Dysuria and Post-void Residual Urine in Patients with Benign Prostatic Hyperplasia 141 156 173119 10.22034/hp.2023.402665.1040 EN Akram Kazem Karim Aljanahy School of Nursing and Midwifery, Mashhad University of Medical Sciences, Mashhad, Iran. 0009-0006-7620-7739 Hamid Chamanzari Nursing and Midwifery Care Research Center, Mashhad University of Medical Sciences, Mashhad, Iran AND Instructor, Department of Medical-Surgical Nursing, School of Nursing and Midwifery, Mashhad University of Medical Sciences, Mashhad, Iran. 0000-0001-8734-7370 Hamid Reza Bahrami-Taghanaki Associate Professor, Department of Chinese Traditional Medicine, Faculty of Complementary and Traditional, Mashhad University of Medical Sciences, Mashhad, Iran. Mahmoud Tavakkoli Associate Professor, Department of Urology, Transplant Complications Research Center, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran. 0000-0003-4859-1922 Journal Article 2023 06 16 Background: The side effects and costs associated with chemical treatments have prompted efforts to identify more effective therapies with fewer side effects for patients with benign prostatic hyperplasia (BPH). Our aim was to investigate the effects of acupressure on post-void residual volume (PVR) and dysuria in BPH patients. Materials and Methods: This study is a single-blind, randomized clinical trial. Thirty patients with mild benign prostatic hyperplasia (BPH) at Qaem and Imam Reza Hospitals of Mashhad University of Medical Sciences were randomly assigned to two groups: an intervention group (15 patients) and a control group (15 patients) using a non-random sampling method. The intervention group received 12 minutes of acupressure at a pressure of 3-4 kg on specific points (Pang Guangshu, Guanyuan, Shenmen, and Sanyinjiao), while the control group received sham acupressure at non-specific points for three minutes at each point, three times a week for two weeks. Data collection tools included a sample selection form, a demographic information form, the WAS scale, the IPSS scale, and ultrasound to determine post-void residual volume (PVR). Dysuria and PVR were recorded in both groups before the intervention and 48 hours afterward, with results compared using SPSS (version 16.0). Results: After the intervention, the mean post-void residual volume (PVR) in the intervention group was 32.4 ± 7.59, indicating a significant decrease compared to the control group, which had a mean PVR of 39.6 ± 9.24 (p < 0.05). Similarly, the mean dysuria score in the intervention group was 2.33 ± 1.45, significantly lower than that of the control group, which was 4.27 ± 2.40 (p < 0.05). Conclusion: Applying six sessions of acupressure with a pressure of 3-4 kg on the four points BL-28 (Pang Guang Shu), CV-4 (Guan Yuan), HE-7 (Shenmen), and SP-6 (Sanyinjiao) for three minutes each can reduce the mean post-void residual volume (PVR) and dysuria in patients with benign prostatic hyperplasia (BPH).

https://www.health-providers.ir/article_173119_325df290eed94f91c111d972f8acb8d0.pdf